Quiz 6

Question 0

What PVR indicates inadequate emptying?

Answer 0

Greater than 150 ml

Question 1

What PVR indicates adequate bladder emptying?

Answer 1

Less than 50 ml

Question 2

Where should the tubing of an external condom catheter be?

Answer 2

The tip of the tubing should be kept 1 to 2 inches or 2.5 to 5 cm the on the tip of the penis to prevent irritation to the sensitive glans area

Question 3

What is the most common hospital acquired infection in the United States?

Answer 3

Catheter associated urinary tract infection

Question 4

What are the types of catheters ?

Answer 4

Intermittent urethral catheters, or straight catheters, are used to drain the bladder for short periods.

Indwelling catheter also called retention or foley catheters, is used if it is to remain in place for continuous drainage

Suprapubic catheter is used for long term continuous drainage… Suprapubic catheter is inserted surgically through a small incision above the pubic area. The suprapubic catheters often preferred over indwelling urethral catheters for long-term urinary drainage.

Question 5

True or false
Suprapubic catheters associated with decreased risk of contamination with organisms from fecal material, elimination of damage the urethra, higher rate of patient satisfaction, and lower risk of catheter associated urinary tract infection

Answer 5

True

Question 6

What are the three positions you can use when inserting a catheter?

Answer 6

Dorsal recumbent, sims, lateral

Question 7

How far should you advance an intermittent urethral catheter?

Answer 7

Female: 2-3 inches or (4.8-7.2 cm)

Male: 6-8 inches ( 14.4-19.2 cm)

Question 8

What are the two major hazards of introducing catheter into the bladder?

Answer 8

Sepsis and trauma

Question 9

True or false
Although the female urethra shorter than the male urethra, it’s also more susceptible to damage of the catheters forced through it

Answer 9

True

Question 10

What is bacteriuria?

Answer 10

When a catheter left in place, organisms can move up that catheter lumen for the space between the catheter and the urethral wall. This asymptomatic condition in which bacteria is present in the urine is bacteriuria

Question 11

What size catheter should you use for long-term use an adult?

Answer 11

14-16 F with a 5-10 ml balloon

Question 12

What size catheter should you use for older children or infants?

Answer 12

Older children: 8-12 F

Infants: 5-8 F

Question 13

What is a better position for catheter insertion in females?

Answer 13

Sims or lateral position

Question 14

What is the most important measure to help prevent urinary tract infections?

Answer 14

Surgical asepsis

Question 15

True or false

You should apply lubricant to the catheter before inserting it into a male patient

Answer 15

False, the lubricant would remain at the meatus….need syringe with lubricant

Question 16

When the patient has a urinary tract obstruction a urologic stent may be inserted. What stents are temporary and what are permanent?

Answer 16

Temporary: stent placed in ureters

Permanent: stent placed in urethra

Question 17

True or false permanent stands are stronger and typically remain flexible metal mesh

Answer 17

True, temp. Stents are pliable

Question 18

What is an ileal conduit?

Answer 18

An ileal conduit is a cutaneous urinary diversion. An ileal conduit involves surgical resection of the small intestine transportation o ureers to the isolated segment of the small bowel

Question 19

What is a continent urostomy?

Answer 19

This is a surgical alternative that uses a section of the intestine to create internal reservoir that holds urine

Question 20

What is the mitrofanoff procedure .

Answer 20

Surgical intervention, where the bladder neck is closed and the appendix is used to gain access to the bladder from the skin surface. One end of the appendix is brought to skin surface and uses a stoma, the other Is tunneled into the bladder

Question 21

When does a stoma usually stabilize ?

Answer 21

Size stabilizes in 6-8 weeks

Question 22

How far do stomps protrude ?

Answer 22

1/2 to 1 inch

Question 23

How long is the female urethra ?

Answer 23

1.5-2.5 inches or 3.6-6 cm

Question 24

How long is the male urethra?

Answer 24

20 cm